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Organization
CQC HOME CARE SPECIALISTS LLC
Active
Organization
CQC HOME CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAH MARTIN (PRESIDENT/ CO-CEO)
(609) 284-5989
Entity
Organization
Contact information
Practice address
1625 N 26TH ST, PHILADELPHIA, PA 19121-2847
(609) 284-5989
Mailing address
1625 N 26TH ST, PHILADELPHIA, PA 19121-2847
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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